[Laparoscopic hemi-double stapling and reduced-port laparoscopic distal gastrectomy for gastric cancer]

Abstract

Introduction: The hemi-double stapling method (HDS) is typically used for extracorporeal Billroth-I anastomosis. We used HDS for reduced-port surgery. Laparoscopic HDS is used for intracorporeal Billroth-I anastomosis after laparoscopic distal gastrectomy. We performed reduced-port laparoscopic distal gastrectomy for gastric cancer.

Methods: Reduced-port laparoscopic distal gastrectomy was performed using the multi-trocar method with 5mm and 3mm ports. Laparoscopic HDS was performed using an umbilical incision and a left upper abdominal incision. A total of 17 patients underwent reduced-port laparoscopic distal gastrectomy. A D1+or D1 lymph node dissection was performed, and laparoscopic HDS was used for reconstruction.

Results: The patients had no short-term complications.

Conclusions: Laparoscopic HDS and reduced-port laparoscopic distal gastrectomy are safe and feasible procedures.